CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Valley Presbyterian Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$310
about 1.4× the $224 Medicare rate · typically $115–$336
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $310 Cash price $165 Hospital's list price $165
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $96 - $814 | 43% |
| Blue Cross Blue Shieldmajor | $133 - $258 | 59% |
| Aetnamajor | $77 - $732 | 34% |
| Cignamajor | $72 - $561 | 32% |
| Ambetter (Centene) | $364 | 163% |
| Health Net | $258 - $511 | 115% |
| + 2 smaller / regional plans | $258 - $401 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Valley Presbyterian Hospital
Compare: Breathing treatment (nebulizer) at other CA hospitals
- Seneca District Hospital · Chester $20
- Riverside Community Hospital · Riverside $21
- Santa Clara Valley Medical Center · San Jose $21
- Corona Regional Medical Center · Corona $21
- University of California Davis Medical Center · Sacramento $21
- Southwest Healthcare Rancho Springs Hospital · Murrieta $21
- Kern Valley Healthcare District · Lake Isabella $21
- Adventist Health Howard Memorial · Willits $22
Insurance negotiated median for the same procedure, sorted lowest first.